Diseases of the nose and throat; a text-book for students and practitioners . the neighboringglands decrease in size. If these means fail, local measures should not be of the following methods may be employed, according tothe severity of the case, the condition of the tonsil, etc.; ifthe latter be irregular and the crypts open, it is usually best touse chromic acid or the galvano-cautery. In using the former, ENLARGED (HYPERTROPHIED) TONSILS. 305 one or two crystals are to be fused on the end of a heatedprobe and introduced into the little crypts every four or fivedays for a few w
Diseases of the nose and throat; a text-book for students and practitioners . the neighboringglands decrease in size. If these means fail, local measures should not be of the following methods may be employed, according tothe severity of the case, the condition of the tonsil, etc.; ifthe latter be irregular and the crypts open, it is usually best touse chromic acid or the galvano-cautery. In using the former, ENLARGED (HYPERTROPHIED) TONSILS. 305 one or two crystals are to be fused on the end of a heatedprobe and introduced into the little crypts every four or fivedays for a few weeks. When using the galvano-cautery, thepoint should be brought near the crypt to be entered, the circuitcompleted, and the point thrust into the opening; it should beremoved while hot, in order to avoid unnecessary pain. Twoor three lacunae are thus treated at a time. A 4-per-cent solu-tion of cocaine may be first brushed over the tonsil in order toprevent the slight pain that otherwise arises. The reaction isslight and the treatment may be repeated in five days. This is. Fig. 80.—Mackenzies Tonsillotome, as Modified by Mandeville. usually the most satisfactory method of treating lacunar ton-sillitis, but, if there be bridges of tissue which prevent thefree exit of the caseous mass, they should be divided by the hotblade or torn through with a probe, and all cavities emptied bya small scoop or curette. The practice of injecting a few drops of glacial acetic orcarbolic acid into hypertrophied tonsils is painful and not verysatisfactory. Electrolysis needles may be used, but the resultsappear slow. When the tonsil is rather smooth and firm, excision with 306 DISEASES OF THE NOSE AND THROAT. the tonsillotome is to be advised; even when it is very uneventhis method is often best, as time and annoyance are therebysaved; but patients and parents often object to the knife, thusnecessitating other measures. Tonsillotomy is almost painless,and is attended with very little risk, alth
Size: 1849px × 1352px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
